Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study

Colin McCowan; Paula McSkimming; Richard Papworth; Marie Kotzur; Alex McConnachie; Sara Macdonald; Sally Wyke; Emilia Crighton; Christine Campbell; David Weller; Robert JC Steele; Kathryn A Robb

doi:10.1038/s41416-019-0564-9

Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study

Colin McCowan, Paula McSkimming, Richard Papworth, Marie Kotzur, Alex McConnachie, Sara Macdonald, Sally Wyke, Emilia Crighton, Christine Campbell, David Weller, Robert JC Steele, Kathryn A Robb

Research output: Contribution to journal › Article › peer-review

Abstract

Background

We investigated demographic and clinical predictors of lower participation in bowel screening relative to breast and cervical screening.

Methods

Data linkage study of routinely collected clinical data from 430,591 women registered with general practices in the Greater Glasgow & Clyde Health Board. Participation in the screening programmes was measured by attendance at breast or cervical screening or the return of a bowel screening kit.

Results

72.6% of 159,993 women invited attended breast screening, 80.7% of 309,899 women invited attended cervical screening and 61.7% of 180,408 women invited completed bowel screening. Of the 68,324 women invited to participate in all three screening programmes during the study period, 52.1% participated in all three while 7.2% participated in none. Women who participated in breast (OR = 3.34 (3.21, 3.47), p < 0.001) or cervical (OR = 3.48 (3.32, 3.65), p < 0.001) were more likely to participate in bowel screening.

Conclusion

Participation in bowel screening was lower than breast or cervical for this population although the same demographic factors were associated with uptake, namely lower social deprivation, increasing age, low levels of comorbidity and prior non-malignant neoplasms. As women who complete breast and cervical are more likely to also complete bowel screening, interventions at these procedures to encourage bowel screening participation should be explored.

Original language	English
Pages (from-to)	710–714
Number of pages	5
Journal	British Journal of Cancer
Volume	121
Issue number	8
Early online date	4 Sept 2019
DOIs	https://doi.org/10.1038/s41416-019-0564-9
Publication status	Published - 15 Oct 2019

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Copyright © The Author(s) 2019. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Final published version, 267 KBLicence: CC BY

Colin McCowan
- cm434st-andrews.acuk
- School of Medicine - Professor in Health Data Science
- Sir James Mackenzie Institute for Early Diagnosis
- Population and Behavioural Science Division
Person: Academic

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McCowan, C., McSkimming, P., Papworth, R., Kotzur, M., McConnachie, A., Macdonald, S., Wyke, S., Crighton, E., Campbell, C., Weller, D., Steele, R. JC., & Robb, K. A. (2019). Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study. British Journal of Cancer, 121(8), 710–714. https://doi.org/10.1038/s41416-019-0564-9

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title = "Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study",

abstract = "BackgroundWe investigated demographic and clinical predictors of lower participation in bowel screening relative to breast and cervical screening.MethodsData linkage study of routinely collected clinical data from 430,591 women registered with general practices in the Greater Glasgow & Clyde Health Board. Participation in the screening programmes was measured by attendance at breast or cervical screening or the return of a bowel screening kit.Results72.6% of 159,993 women invited attended breast screening, 80.7% of 309,899 women invited attended cervical screening and 61.7% of 180,408 women invited completed bowel screening. Of the 68,324 women invited to participate in all three screening programmes during the study period, 52.1% participated in all three while 7.2% participated in none. Women who participated in breast (OR = 3.34 (3.21, 3.47), p < 0.001) or cervical (OR = 3.48 (3.32, 3.65), p < 0.001) were more likely to participate in bowel screening.ConclusionParticipation in bowel screening was lower than breast or cervical for this population although the same demographic factors were associated with uptake, namely lower social deprivation, increasing age, low levels of comorbidity and prior non-malignant neoplasms. As women who complete breast and cervical are more likely to also complete bowel screening, interventions at these procedures to encourage bowel screening participation should be explored.",

author = "Colin McCowan and Paula McSkimming and Richard Papworth and Marie Kotzur and Alex McConnachie and Sara Macdonald and Sally Wyke and Emilia Crighton and Christine Campbell and David Weller and Steele, {Robert JC} and Robb, {Kathryn A}",

note = "Funding: CR-UK through its National Awareness & Early Diagnosis Initiative C9227/A17676.",

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day = "15",

doi = "10.1038/s41416-019-0564-9",

language = "English",

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journal = "British Journal of Cancer",

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McCowan, C, McSkimming, P, Papworth, R, Kotzur, M, McConnachie, A, Macdonald, S, Wyke, S, Crighton, E, Campbell, C, Weller, D, Steele, RJC & Robb, KA 2019, 'Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study', British Journal of Cancer, vol. 121, no. 8, pp. 710–714. https://doi.org/10.1038/s41416-019-0564-9

TY - JOUR

T1 - Comparing uptake across breast, cervical and bowel screening at an individual level

T2 - a retrospective cohort study

AU - McCowan, Colin

AU - McSkimming, Paula

AU - Papworth, Richard

AU - Kotzur, Marie

AU - McConnachie, Alex

AU - Macdonald, Sara

AU - Wyke, Sally

AU - Crighton, Emilia

AU - Campbell, Christine

AU - Weller, David

AU - Steele, Robert JC

AU - Robb, Kathryn A

N1 - Funding: CR-UK through its National Awareness & Early Diagnosis Initiative C9227/A17676.

PY - 2019/10/15

Y1 - 2019/10/15

N2 - BackgroundWe investigated demographic and clinical predictors of lower participation in bowel screening relative to breast and cervical screening.MethodsData linkage study of routinely collected clinical data from 430,591 women registered with general practices in the Greater Glasgow & Clyde Health Board. Participation in the screening programmes was measured by attendance at breast or cervical screening or the return of a bowel screening kit.Results72.6% of 159,993 women invited attended breast screening, 80.7% of 309,899 women invited attended cervical screening and 61.7% of 180,408 women invited completed bowel screening. Of the 68,324 women invited to participate in all three screening programmes during the study period, 52.1% participated in all three while 7.2% participated in none. Women who participated in breast (OR = 3.34 (3.21, 3.47), p < 0.001) or cervical (OR = 3.48 (3.32, 3.65), p < 0.001) were more likely to participate in bowel screening.ConclusionParticipation in bowel screening was lower than breast or cervical for this population although the same demographic factors were associated with uptake, namely lower social deprivation, increasing age, low levels of comorbidity and prior non-malignant neoplasms. As women who complete breast and cervical are more likely to also complete bowel screening, interventions at these procedures to encourage bowel screening participation should be explored.

AB - BackgroundWe investigated demographic and clinical predictors of lower participation in bowel screening relative to breast and cervical screening.MethodsData linkage study of routinely collected clinical data from 430,591 women registered with general practices in the Greater Glasgow & Clyde Health Board. Participation in the screening programmes was measured by attendance at breast or cervical screening or the return of a bowel screening kit.Results72.6% of 159,993 women invited attended breast screening, 80.7% of 309,899 women invited attended cervical screening and 61.7% of 180,408 women invited completed bowel screening. Of the 68,324 women invited to participate in all three screening programmes during the study period, 52.1% participated in all three while 7.2% participated in none. Women who participated in breast (OR = 3.34 (3.21, 3.47), p < 0.001) or cervical (OR = 3.48 (3.32, 3.65), p < 0.001) were more likely to participate in bowel screening.ConclusionParticipation in bowel screening was lower than breast or cervical for this population although the same demographic factors were associated with uptake, namely lower social deprivation, increasing age, low levels of comorbidity and prior non-malignant neoplasms. As women who complete breast and cervical are more likely to also complete bowel screening, interventions at these procedures to encourage bowel screening participation should be explored.

U2 - 10.1038/s41416-019-0564-9

DO - 10.1038/s41416-019-0564-9

M3 - Article

SN - 0007-0920

VL - 121

SP - 710

EP - 714

JO - British Journal of Cancer

JF - British Journal of Cancer

IS - 8

ER -

Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study

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